4,510 Independent Nursing Homes in the United States

Nurse hours

3.75 /day

Staff turnover

—

Serious cites

0

Rest Haven-York runs 159 certified beds as a for-profit corporation, and its nurse staffing sits at 3.75 hours per resident day, about 3% under the national average of 3.86. Weekends dip roughly 11% below the home's own weekday coverage, which matters because that's when families often visit and when problems tend to surface. The current inspection record carries 22 deficiencies, none at the harm or jeopardy level, but one is abuse-related. CMS gave it 3 stars for health inspections and 3 for quality measures, while staffing earned just 1 star. The last inspection was February 5, 2026, so the picture is recent. A C grade reflects a home that isn't failing outright but has thin staffing where it counts.

Nurse hours

3.76 /day

Staff turnover

—

Serious cites

0

Lecom At Snyder Memorial runs 100 certified beds in Marienville under nonprofit ownership, and its nurse staffing sits at 3.76 hours per resident day, a bit under the national average of 3.86. The bigger issue is weekends, when coverage drops roughly 13 percent below what the home staffs on weekdays. Its inspection record shows 28 deficiencies, one serious enough to reach harm or jeopardy level, with a single fine of $25,853; the last inspection was May 2026. The two-out-of-five inspection and staffing ratings line up with those numbers, while the quality measure rating sits higher at three. Ask about weekend coverage specifically before deciding.

Nurse hours

5.07 /day

Staff turnover

58%

Serious cites

0

Scotchman Living Center runs on unusually heavy staffing for a 42-bed nonprofit home, 5.07 nurse hours per resident day, roughly a third more than the national average. But that cushion thins on weekends, when coverage drops about 18% below its own weekday pace, and nearly 58% of staff turned over last year against a national rate under 46%. The health inspection side looks solid at four stars, yet the current record carries 13 deficiencies, including four at harm or jeopardy level and three tied to abuse, plus $47,655 in fines across three events. Quality measures sit at one star despite the generous staffing. The most recent inspection was November 2025.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

The Michael J. Fitzmaurice South Dakota Veterans Home runs 78 certified beds as a state-owned facility, and its inspection record is where the trouble shows. Fifteen deficiencies on the current record, including two at the harm or jeopardy level and three tied to abuse, with one fine totaling $39,293. That May 2025 inspection is recent enough to reflect how the home operates now. Quality measures score well at 4 out of 5, so resident care metrics look better than the inspection side, but a two-star health inspection rating and that abuse count are the numbers a family should ask about directly before deciding.

Nurse hours

4.77 /day

Staff turnover

44%

Serious cites

0

Hardin County Nh runs 4.77 total nurse hours per resident per day, roughly a quarter more staffing than the national average, and its 44.2% turnover sits just under the national rate. Those are the positives. Against them: eleven deficiencies on the current record, three serious enough to involve harm or jeopardy, and $67,490 in fines across two events. The quality measure rating sits at 1 out of 5, weekend staffing drops about 17% below weekday levels, and the last inspection was February 2026. County ownership is stable, but stable isn't the same as clean. If you're considering this one, ask what specifically drove those three harm-level findings and how weekend coverage actually looks in practice.

Nurse hours

3.81 /day

Staff turnover

—

Serious cites

0

Community Care Of Rutherford runs 131 certified beds as a nonprofit, but the numbers behind its record are worth a close look. Nurse staffing sits at 3.81 hours per resident day, just under the national average, and weekends drop about 8% below its own weekday levels, so coverage thins out exactly when families tend to visit. The bigger concerns are on the inspection side: 19 deficiencies on the current record, two of them serious enough to reach harm or jeopardy level, with no abuse citations. The last full inspection was in May 2022, meaning that record is getting stale. Low marks on both health inspections and staffing tell you where the problems cluster.

Nurse hours

4.20 /day

Staff turnover

—

Serious cites

0

Wharton Nursing Home carries a heavier nurse staffing load than most places, 4.20 hours per resident day against a national average of 3.86, but weekends drop about 11% below its own weekday level, so the coverage families see on a Tuesday isn't what they get on a Sunday. The inspection record is the real problem: 18 deficiencies, four serious enough to put residents at harm or jeopardy, and two tied to abuse, with $69,885 in fines and the most recent inspection from February 2024. Nonprofit ownership hasn't kept the clinical side clean, and that staffing edge doesn't offset what inspectors found.

Nurse hours

4.77 /day

Staff turnover

78%

Serious cites

0

Crook County Medical Services District Long Term C runs a high-staffing operation: 4.77 nurse hours per resident day, roughly a quarter above the national average, and weekends dip only about 15% below its own weekday level. That staffing is the strongest part of the picture. The trouble sits elsewhere. Staff turnover runs 78.2% against a national average near 46%, so the people providing that care are cycling through fast. The home carries 25 deficiencies on its current record, including one at the harm level and four tied to abuse, plus a fine of $8,981, with its last inspection in August 2025. Nonprofit ownership hasn't kept quality measures from landing at the bottom of CMS's scale.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Pacifica Hospital of the Valley's skilled nursing unit has a staffing problem you should weigh heavily. Its CMS staffing rating sits at 1 out of 5, and the health inspection rating is also 1, the lowest possible, despite the quality measure score of 4, which reflects clinical data like hospitalizations and medication management rather than day-to-day care on the floor. The inspection record shows 51 deficiencies, one serious enough to reach harm or jeopardy level, and a $60,373 fine, all from a February 2026 survey. This is an individual for-profit operator, which in California often means thinner staffing budgets. Ask directly how many CNAs are on the floor at night before you decide.

Nurse hours

3.12 /day

Staff turnover

—

Serious cites

0

Grace Care Center Of Nocona runs on nurse staffing of 3.12 hours per resident day, roughly 19% under the national average, and weekends dip about 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. The current record carries 28 deficiencies, including two at the harm or jeopardy level and one tied to abuse. Inspectors were last on site in November 2024. It's a for-profit LLC with 89 certified beds, and its staffing star sits at 1 out of 5 while quality measures come in at 3. If you're weighing this one, ask specifically how weekends and abuse-prevention are staffed.

Nurse hours

3.49 /day

Staff turnover

7%

Serious cites

0

Father Purcell Memorial is a small church-run home in Montgomery with 58 beds, and its strongest number is staff retention: 6.9% annual turnover against a national average near 46%. That kind of stability matters for residents who need consistent caregivers. The trouble is how few of them there are. Nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average, and weekends run about 5% thinner than weekdays. Inspections are another concern, 10 deficiencies on record, two serious enough to involve harm or jeopardy, and the last full inspection was in December 2022. The low turnover is real, but thin coverage and a dated, flawed inspection history weigh against it.

Nurse hours

4.10 /day

Staff turnover

45%

Serious cites

0

Capistrano Beach Care Center sits on 93 certified beds in Dana Point, run by a for-profit limited liability company. Its total nurse staffing of 4.10 hours per resident day runs about 6% above the national average, and weekend coverage dips roughly 10% below its own weekday level, but CMS still scores staffing at just 1 out of 5 stars, with annual turnover at 45.4%, essentially matching the national rate of 45.8%. The 83 deficiencies on the current record include three tied to abuse, though none reached harm or jeopardy level; the most recent inspection was November 19, 2025. Quality measures earn 4 stars, inspections only 2.

Nurse hours

3.14 /day

Staff turnover

40%

Serious cites

0

Candlewood Valley runs lean on nursing hours, 3.14 per resident day against a national average of 3.86, roughly 19% below it, and weekends dip about 12% lower than the home's own weekdays. That thinner weekend coverage matters most, since that's when families tend to visit and when problems can go unnoticed. The inspection record shows 40 deficiencies, including one at the harm or jeopardy level and five tied to abuse, with the last inspection dated March 31, 2026. Staff turnover sits at 39.7%, which is actually better than the 45.8% national figure, a genuinely good sign in a for-profit, limited-liability operation. Quality measures score well at 4 out of 5 stars, but staffing and inspections both land at 3, which is where the overall picture settles.

Nurse hours

— /day

Staff turnover

45%

Serious cites

0

Harborside runs on a for-profit LLC structure with 125 certified beds, and its nurse staffing sits well above the national average, 5.17 hours per resident day against 3.86. That's a real edge, and weekend coverage only dips about 8% below its own weekday level, so the floor doesn't empty out on Saturdays. Turnover at 44.8% is essentially the national rate, neither a red flag nor a bragging point. What drags the record down is the inspection history: 96 deficiencies currently on file, including six at the harm or jeopardy level and eleven tied to abuse. Three fines total $236,002. The last inspection was October 2024, so this isn't stale paperwork, it's the recent record. High staffing can't offset that. Ask about the abuse-related citations specifically before you visit.

Nurse hours

3.26 /day

Staff turnover

50%

Serious cites

0

Eastman Trails of Journey runs 100 certified beds under corporate ownership, and its staffing is the weak spot. At 3.26 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends dip roughly 9% below its own weekday coverage. That thin margin shows up in the federal staffing rating, which lands at the lowest tier, and in turnover that runs 50% against a national 45.8%, aides and nurses cycling out faster than average. The inspection record is cleaner: 15 deficiencies, none at harm or jeopardy level and none abuse-related, with the last survey in February 2026. Quality measures score well above staffing. The gap between good clinical numbers and thin daily coverage is what a family should weigh.

Nurse hours

3.25 /day

Staff turnover

49%

Serious cites

0

Alpine Care of St. Charles is a 120-bed for-profit home, and the numbers show a building running thin on nursing hours. At 3.25 hours per resident day, staffing sits about 16% under the national average, and weekend coverage doesn't improve, it dips slightly below the home's own weekday level. Turnover near 50% means the aides and nurses you'd meet are often new or on their way out. Inspections are the bigger concern: 39 deficiencies on the current record, four serious enough to involve harm or jeopardy, two tied to abuse. Federal fines total $14,015. The most recent inspection was in September 2025, so the picture is current. If you're considering this home, ask specifically how those four harm-level findings were resolved and what weekend coverage actually looks like on the floor.

Nurse hours

2.11 /day

Staff turnover

44%

Serious cites

0

Balmoral Home runs on about 2.11 nurse staffing hours per resident per day, roughly 45% under the national average of 3.86, and weekends drop further, about 7% below its own weekday level. That thin coverage sits alongside a clean inspection record, 4 out of 5 stars, most recently surveyed in December 2024, though 27 deficiencies are on file, including two at the harm or jeopardy level and one tied to abuse. Staff turnover lands at 43.7%, slightly better than the national 45.8%, so retention isn't the problem; the raw number of hands on the floor is. A for-profit corporation operates the 213-bed building, and the staffing rating of 1 out of 5 reflects where the strain actually shows.

Nurse hours

3.11 /day

Staff turnover

42%

Serious cites

0

Chase Center runs lean on direct care: 3.11 nurse hours per resident per day against a national average of 3.86, and weekends dip about 9% below the home's own weekday level. That thin weekend coverage matters most when families visit and when residents need help with meals, mobility, and toileting. Turnover sits at 42.1%, a bit better than the 45.8% national figure, but still means four in ten caregivers left within the year. The good news is inspections, a 5/5 health inspection star rating, eight deficiencies on record with none at harm level and none abuse-related, and a recent survey from November 2025. Corporate-owned and 101 beds, it's a place where the care culture looks clean on paper but staffing is the weak spot.

Nurse hours

3.40 /day

Staff turnover

69%

Serious cites

0

Wheatland Manor runs about 3.40 nurse staffing hours per resident day, roughly 12 percent under the national average, and weekend coverage dips another 12 percent below its own weekday levels. That thin margin matters more when turnover sits at 69 percent, well above the 45.8 percent national figure, because replacements are constantly learning the building. Inspections are a genuine strength: a 4-star health inspection rating and a recent survey in January 2026. But seven deficiencies are on record, two of them serious enough to reach harm or jeopardy, and one fine totaling $19,338 has been levied. The care basics look passable; keeping consistent hands on deck is the open question.

Nurse hours

4.25 /day

Staff turnover

65%

Serious cites

0

Westy Community Care Home runs a 40-bed nonprofit operation in Westmoreland, and the staffing numbers are genuinely its strongest point, 4.25 nurse hours per resident day sits about 10% above the national average, and weekend coverage only dips about 6% below its own weekday level. That's real direct-care presence. But the staff giving that care turn over at 65.3% a year, well above the 45.8% national rate, and that churn shows up elsewhere: 24 deficiencies on the current record, three serious enough to involve harm or jeopardy, two tied to abuse. Two fines total $19,406. The last inspection was September 2024. Good hours on paper, but heavy turnover and a troubled inspection history.